[The use of muscle flaps in the surgical treatment of infected vascular prosthesis].

The solutions for graft infection and its complications in vascular surgery are well known. However, publications dealing with this topic do not, or just occasionally mention muscular flap plast, which is already quite widely used in other fields of surgery. The authors first used pedicled muscular flap plasty in 1996, to cover grafts that had been exposed as a result of infection.

[Late detection of vascular injuries].

Generally recognizing of traumatical vascular injuries isn't difficult since clinical signs and symptoms show them unambiguously. For some time-mainly in case of blunt and shot wounds-lacking unanimous signs the vascular injuries can't be diagnosed. Later on appearing symptoms as complications raise the chance of existence of an earlier vascular injury.

[Successfully resected carotid glomus tumor].

A 76-years old man with carotid body tumor on the left carotid bifurcation was operated on, in August 1999. The rare tumor of the paraganglionic tissue was detected by ultrasonography and arteriography. Although these tumors have a very low incidence of malignancy, extirpation should be carried out.

[Minimally invasive surgery in the management of Mirizzi syndrome].

An impacted gallstone in the cystic duct or in the Hartman's pouch with subsequent inflammation and edema resulting in extrinsic compression of the common hepatic or common bile duct with obstructive jaundice is known as Mirizzi's syndrome. The Mirizzi syndrome presents a difficult surgical challenge because of the dense adhesions and edematous inflammatory tissue cause distortion of the normal anatomy in Calot's triangle, leading to a great risk of bile duct injury. Therefore, a controversial issue the surgical strategy for the treatment of Mirizzi's syndrome since the introduction of laparoscopic cholecystectomy.

Micro and minilaparotomy surgery in the treatment of Mirizzi's syndrome.

The Mirizzi's syndrome presents a difficult surgical challenge because the dense adhesions and edematous inflammatory tissue cause distorsion of the normal anatomy in Calot's triangle, leading to a great risk of bile duct injury. Therefore, a controversial issue the surgical strategy for treatment of Mirizzi's syndrome since the introduction of laparoscopic cholecystectomy. The present study was undertaken to elucidate the applicability of microlaparotomy cholecystectomy in the management of Mirizzi's syndrome.